<div class="wrap_all_form wrap_addlist">  
    <div class="col-md-6 signup_left Left_add">   
             <form id="UserAddForm" method="get" action="index_2.php"> 
                <div class="input text required">
                   <label for="UserUsername">Username</label>
                   <input type="text" class="text" id="UserUsername" value="" maxlength="30" name="">
                </div>
                <div class="input text required">
                   <label for="UserEmail">Email</label>
                   <input type="text" class="text"  id="UserEmail" value="" maxlength="75" name="">
                </div>
                <div class="input password required">
                   <label for="UserPassword">Password</label>
                   <input type="password" class="text"  id="UserPassword" value="" name="">
                </div>
                <div class="input password required">
                  <label for="UserConfirmPassword">Confirm Password</label>
                  <input type="password" class="text"  id="UserConfirmPassword" value="" class="password" name="">
                </div> 
                <div class="required input text line_captcha">
                    <label for="UserCaptcha">Captcha code</label>
                    <input type="text" class="text"  id="UserCaptcha" value="" name="">
                    <img src="images/captcha.jpg">
                </div>

                <div class="submit">  <input class="bt_submit" type="submit" value="Signup"> </div>
                <a title="" class="facebook_button"  href="#"> <img alt="" src="images/signupFacebook.png"></a> 
             </form>
             <div class="clear"></div>  
    </div><!--Left_add-->

    <div class="col-md-6 right_add">  
       <div class="signup_graphic">
           <h4>Become a part of our community</h4>
           <img src="images/signup_graphic.png">
       </div>
    </div><!-- /.right_add -->   
</div><!--wrap_all_form /.wrap_addlist  -->  
 


